Alcohol use disorder: when drinking becomes a problem

Where does it become a problem?

It is not alcohol itself but the way you drink that causes problems. If you drink more and more often, find it hard to control, and keep drinking despite problems with your health, work, or relationships, it may be alcohol use disorder.

• Hazardous drinking: no major problems yet, but drinking at levels that can harm your health
• Harmful drinking: drinking has already damaged your body, mind, or daily life
• Alcohol dependence: being unable to control drinking and having withdrawal symptoms without it

Signs of alcohol dependence

• Drinking more, or for longer, than you intended
• Trying to cut down or quit without success
• Needing more to feel the same effect
• Shaky hands, cold sweats, anxiety, or insomnia when you don't drink
• Giving up plans, work, or family time because of drinking
• Repeated blackouts

People who have been drinking heavily for a long time can develop dangerous withdrawal (seizures, delirium) if they stop suddenly. If you suspect dependence, get medical help rather than quitting alone.

Ways to cut down

• Decide how much you will drink before you start, and count your drinks.
• Alternate with water, and never drink on an empty stomach.
• Make at least two days a week alcohol-free.
• If you drink to relieve stress, find other outlets such as exercise, walks, or talking with someone.
• Prepare a way to say no in advance ("I'm cutting back for my health").

Where to get help

• A doctor or addiction specialist: can manage withdrawal and prescribe medications that reduce cravings.
• U.S.: SAMHSA National Helpline 1-800-662-4357 (free, confidential, 24/7) and FindTreatment.gov for local treatment.
• Mutual-help groups such as Alcoholics Anonymous (AA), where people with the same struggles support one another.
• Korea: Addiction Management Centers across the country offer free counseling and recovery programs; call 1577-0199 to be connected.